QHA Member Feedback Survey Please complete the following questions. Question Title * 1. Please provide the following information First name Company name Member (yes/no) Question Title * 2. Are you eligible for any State based support? Yes (If yes, answer Q3) No Not sure how to Question Title * 3. Does this State support make a difference to your immediate future (next 4 weeks?) Question Title * 4. Are you eligible for any Federal Government support? Yes (If yes, answer Q5) No Not sure how to Question Title * 5. Does this Federal Government support make a difference to your immediate future (next 4 weeks?) Question Title * 6. Have you applied for this support? Yes No Not sure how to Question Title * 7. Have you spoken with your accountant to understand your options? Yes No Question Title * 8. What other sources of information have you used? Question Title * 9. Has your primary lender been supportive? Very Somewhat Not at all Question Title * 10. If you are a tenant, have you had a conversation with your landlord that has been: Supportive Neutral Negative Question Title * 11. What other support do you need in the next 4 weeks? Done
